We open this article by mentioning that intraosseous injuries are injuries that are created within the bone regardless of fractures.
One millimeter before the bone fractures , lesions are created that promote the formation of a bone callus inside the bone that can be salvaged or remain there even for a lifetime.
What happens, then, when we are in the presence of a bone callus that increases bone density? The bone in question loses its natural capacity for flexion and elasticity with the result that the load lines undergo changes that will inevitably give rise to variable problems depending on the area affected.
Normally a healthy and elastic bone, by yielding, cushions not only gravitational loads but also loads related to muscle tension. When this does not happen because the bone does not give way, we may be looking at an injury to the corresponding muscle or tendon.
What can the osteopath do in the face of an intraosseous injury?
When the osteopath is faced with an intraosseous lesion first, he or she must know how to recognize it through specific tests explained in detail in the book Once the points of greatest density and thus the intraosseous lesion have been identified, the relevant intraosseous techniques useful for stimulating the bone must be applied to activate the regeneration process of that bone so that it can regain its physiological structure and elasticity.
Testing all the bones of the body for lesions remains a utopia, reasoning that I want to leave you with a valuable tip that will make it easier to detect an intraosseous lesion.
Usually reductions in joint mobility or muscle issues are the right bells that make us suspect the presence of an intraosseous injury.
The two types of intraosseous lesions
Important to define that there are two types of intraosseous injuries: trauma injuries and overload injuries that occur when loading becomes excessive and repeated and the bone, as a result, increases its density. A typical example involves the distal part of the tibiae of basketball players who, especially when overweight, produce an increased density reaction from the tibia. As a consequence to all this we will have that athlete will have major ankle joint problems.
The solution is to decompress that bone right away-this way the ankles will immediately regain their physiological mobility.
So the call to investigate intraosseous injuries is getting louder and louder because the benefits we can give to our patients, in real time, is really very high precisely because bone is capable of regenerating itself on the spot.
And let’s remember that intraosseous injuries affect all bones in the body since any bone can be the subject of trauma.
For any trauma there may be adaptations of the overlying or underlying joints.
Knowing where and how to intervene with intraosseous techniques can make a difference in your work, empowering it.
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